You can become dependent on fentanyl even if you’re taking it as directed by a doctor. This means you’ll experience withdrawal symptoms once you stop taking it. Illegal drugs, such as heroin and cocaine, are sometimes mixed with fentanyl, which makes the drugs more potent. If someone with a substance use disorder is unaware of the added fentanyl, this can put them at a higher risk of accidental overdose or death.
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The use of fentanyl citrate injection with CYP3A4 inducers or stopping the CYP3A4 inhibitor will require close and repetitive monitoring of the patient. First responders will likely administer naloxone if you haven’t already, or give it to them again. Naloxone only works in the body for 30 to 90 minutes, so it’s possible for someone to still have overdose effects after the medication wears off or needs multiple doses. While it’s safe for your doctor to give you fentanyl in a medical setting, some people abuse it, which can lead to an overdose. Many fatal overdoses thought to be from heroin have been from fentanyl. A small dose of fentanyl can be fatal depending on how tolerant someone is and their body size.

Young People And Fentanyl

The staff started, quite literally, by Googling “fentanyl for sale,” they said. Posing as first-time buyers, they made contact with six responsive sellers. These sounded like sophisticated operations, offering discounts on bulk purchases and even trying to upsell the investigators to carfentanil, an even more powerful opioid. An 11-month-old girl swallowed a blue tablet she found while crawling around a new apartment. Additional testing was positive for fentanyl, methamphetamine, acetaminophen, and tramadol (from Joynt & Wand, 2021). If a person has a susceptibility to addiction, then it is a situation where the person is more likely to develop a substance use disorder.
Harm Reduction Needs You Join The Movement
Because fentanyl can be created in a lab, it is much easier to produce and is, therefore, a cheaper alternative to less-potent opioids. Fentanyl can be pressed into pill form so it appears as a standard prescription opioid or sold as a powder. Here is what you need to know about fentanyl, what it’s used for, what it does to you, side effects, drug interactions, withdrawal symptoms and why fentanyl is so dangerous. Education about the risks of fentanyl use, increased access to naloxone, and comprehensive addiction treatment programs are crucial in addressing this crisis. If you or someone you know is struggling with fentanyl use, it is essential to seek professional help.
The FDA also warned that children are at particular risk for accidental death from exposure. When someone with an opioid use disorder misuses fentanyl, it is usually illegally manufactured fentanyl rather than a prescription product. For example, the person may obtain it as powders or pills or add it to containers such as eyedroppers or nasal sprays.
Conditions & Services
Log in or create an account for a personalized experience based on your selected interests. Manufacturers use chemicals to make a substance with the same chemical structure as poppies to make fentanyl in a lab. Call an ambulance right away if you suspect you or someone you’re with may have taken an overdose. Fentanyl patches can take up to 2 days to start working, but they last longer.
Public Health
The large number of overdose deaths involving fentanyl highlights the need to ensure people most at risk can access care, as well as the need to expand prevention and response activities. People sell illegal fentanyl as a powder, dropped onto blotter paper, put in eye droppers and nasal sprays, or as pills that look like other prescription opioids. Medications are the standard treatment for fentanyl addiction.32,33 Several medications have been approved by the U.S.
Health Conditions
So even if you don’t have a firsthand connection to this widespread social problem, you probably know someone who does. Fentanyl transdermal patch is generally used for long-term treatment of severe chronic pain. It comes with serious risks if you don’t take it as prescribed. Being aware if fentanyl is present allows people to implement appropriate harm reduction strategies to reduce the risk of an overdose.
Other signs of an overdose may include a pale or clammy face, and discoloration of the lips or fingernails, according to the CDC. Ask your pharmacist or click here to learn more about accessing NARCAN® Nasal Spray in your state. Calling the number is free and confidential, but treatment services may involve costs depending on your insurance coverage and the level of care required. You are under no obligation to engage in care with Treatment X. Over-the-counter (OTC) opioids are opioids that are available to the general public without a prescription.

Of the fentanyl-laced street pills analyzed by the DEA in 2022, 60% contained a potentially lethal dose of fentanyl. Fentanyl is increasingly found in street drugs that have been stamped with illegally purchased pill presses to look like other common pharmaceutical-grade drugs, such as oxycodone. It’s one of the most common drugs involved in overdose deaths.
- Fentanyl can last for a few hours when taken orally or when snorted, smoked, or injected.
- Your doctor will give you more information about the program and how to get your medication and will answer any questions you have about the program and your treatment with fentanyl.
- Producers of illicit fentanyl add it to or substitute it for other street drugs to increase profits and the potential for addiction — which keeps their customers coming back for more.
- To help prevent or treat constipation while taking fentanyl, talk to your doctor about dietary changes, laxatives (drugs that treat constipation), and stool softeners.
Fentanyl is heavily trafficked into the US from other countries and sold as pills or powders, and it has largely replaced heroin in the drug supply. In some cases, these illicit formulations of fentanyl are made to look like other prescription opioid tablets. People sometimes take illegally made fentanyl knowingly, either by itself or with other drugs in various forms, such as powders or pills. People can also unknowingly consume fentanyl when it is mixed into or sold as other drugs, including heroin, cocaine, or counterfeit pills.
You can’t smell or taste fentanyl and fake pills made from fentanyl can look like real pills from a pharmacy. There’s no way to know if -or how much- fentanyl may be in them. Fentanyl can last for a few hours when taken orally or when snorted, smoked, or injected. The transdermal patches can last for up to 12 to 24 hours after the patch has been removed. While some urine drug screens can detect fentanyl, others do not. People can test positive for fentanyl for 3 to 5 days after last use.
What Should I Do If I Forget A Dose?
“Fentanyl is in the supply of many drugs on the street,” explains Dr. Donald. “It took time to create this opioid epidemic, and it is taking time as we learn how to best combat it. There is hope, and there is treatment that works, is safe and is effective.” Help educate your loved one on the risks of fentanyl and make sure they know these harm reduction strategies. When it is intentionally misused, fentanyl often shows up as a powder, spiked on blotter paper or is mixed with or substituted for heroin and other street drugs.
It is safe to touch the person and items that may have fentanyl on them (like a doorknob) because fentanyl cannot be absorbed through the skin with casual use (Connolly, 2022). Despite these programs, the internet has made buying almost anything online an option. It’s crucial to use extreme caution when getting medication or products marketed as “natural alternatives” from someone other than your health care provider.